Internal consistency reliability, construct validity, and item response characteristics of the Kessler 6 scale among hospital nurses in Vietnam

PLoS One. 2020 May 21;15(5):e0233119. doi: 10.1371/journal.pone.0233119. eCollection 2020.

Abstract

The present study investigated the internal consistency reliability, construct validity, and item response characteristics of a newly developed Vietnamese version of the Kessler 6 (K6) scale among hospital nurses in Hanoi, Vietnam. The K6 was translated into the Vietnamese language following a standard procedure. A survey was conducted of nurses in a large general hospital in Hanoi, Vietnam, using a questionnaire including the Vietnamese K6, other scales (DASS21, health-related QOL, self-rated health, and psychosocial work environment), and questions about demographic variables. Internal consistency reliability (Cronbach's alpha coefficient) was calculated. A confirmatory factor analysis was conducted. Eleven hypotheses were tested (as Pearson's correlations with the K6) to assess the scale's construct validity. Item response theory (IRT) analysis was conducted to identify the item response characteristics. The Cronbach's alpha coefficient was 0.864. The explanatory and confirmatory factor analyses indicated a one-factor structure. Most hypotheses tested for construct validity were supported. IRT analysis indicated that response categories were located in order according to severity. K6 provided reliable information regarding higher levels of psychological distress. The findings suggest that the Vietnamese version of the K6 is a reliable and valid instrument to measure psychological distress among hospital nurses in Vietnam.

Publication types

  • Clinical Trial
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Hospitals*
  • Humans
  • Male
  • Middle Aged
  • Nurses*
  • Psychometrics
  • Self Report*
  • Surveys and Questionnaires*
  • Translating*
  • Vietnam

Associated data

  • figshare/10.6084/m9.figshare.12005511.v2

Grants and funding

NK received a grant from Japan Agency for Medical Research and Development (AMED) under Grant Number JP18jk0110014 (https://www.amed.go.jp/). The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.